Abstract: Athletes participating in overhead sports are at particularly high risk of shoulder impingement syndrome. Subcoracoid impingement is defined as impingement of the anterior soft tissues of the shoulder between the coracoid process and the lesser tuberosity. Subacromial impingement syndrome (SIS) occurs due to extrinsic compression of the rotator cuff between the humeral head and coracoacromial structures or intrinsic degeneration of the supraspinatus tendon and subsequent superior migration of the humerus. Internal impingement is a major cause of shoulder pain in overhead athletes, and it occurs due to repetitive impingement of the articular surface of the rotator cuff with the glenoid during maximum abduction and external rotation of the arm. When examining athletes with suspected impingement of the shoulder, it is important to discuss the sport-specific motion that regenerates the symptoms and perform a combination of physical examination tests to improve the diagnostic accuracy. Radiographic evaluation is recommended, and the extent of soft tissue abnormalities can be assessed on ultrasound or magnetic resonance imaging of the shoulder. Management of shoulder impingement syndrome can be conservative or operative, based on the severity and chronicity of symptoms and the associated structural abnormalities. This review provides an update on the management of SIS, subcoracoid impingement, and internal impingement in the athletic population.

Keywords: impingement syndromes, shoulder, subacromial impingement syndrome, joint, subcoracoid, internal, athletes


中文翻译：

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运动员肩部撞击综合征的管理选择：洞察力和未来方向

摘要：参加高架运动的运动员患肩部撞击综合征的风险特别高。喙突下撞击定义为在喙突和较小结节之间撞击肩部前软组织。肩峰下撞击综合征（SIS）的发生是由于肱骨头与肩峰结构之间的转子袖带受到外来压迫或棘上肌腱固有变性以及随后的肱骨上移所致。内部撞击是高架运动员肩部疼痛的主要原因，它是由于在最大外展和手臂外旋时，肩袖的关节面反复受到关节盂撞击而发生的。在检查怀疑肩部受伤的运动员时，重要的是要讨论特定于运动的运动，该运动可重新产生症状并进行一系列体格检查，以提高诊断的准确性。建议进行射线照相评估，并可以通过超声或肩部磁共振成像评估软组织异常的程度。根据症状的严重程度和慢性以及相关的结构异常，肩膀撞击综合征的治疗可以是保守的也可以是手术的。这篇综述提供了运动人群中SIS的管理，喙突下撞击和内部撞击的最新信息。可以通过超声或肩部磁共振成像来评估软组织异常的程度。根据症状的严重程度和慢性以及相关的结构异常，肩膀撞击综合征的治疗可以是保守的也可以是手术的。这篇综述提供了运动人群中SIS的管理，喙突下撞击和内部撞击的最新信息。可以通过超声或肩部磁共振成像来评估软组织异常的程度。根据症状的严重程度和慢性以及相关的结构异常，肩膀撞击综合征的治疗可以是保守的也可以是手术的。这篇综述提供了运动人群中SIS的管理，喙突下撞击和内部撞击的最新信息。

关键词：撞击综合征肩肩峰下撞击综合征关节喙突下内部内部运动员